CLINICAL CHEMISTRY ALKALINE PHOSPHATASE REAGENT 07D55-31

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01 report with the FDA on 2011-09-19 for CLINICAL CHEMISTRY ALKALINE PHOSPHATASE REAGENT 07D55-31 manufactured by Abbott Manufacturing Inc.

Event Text Entries

[21427820] The customer observed architect error message 1053 (unable to calculate result, rate reaction linearity failure) when clinical chemistry alkaline phosphatase reagent lot 08145un11 was in use. The customer stated the problem happens occasionally with samples, however, quality controls were within range. The customer did not actually see fungal growth in the reagent. The customer changed lots of reagent and the issue was resolved. There was no impact to patient management.
Patient Sequence No: 1, Text Type: D, B5


[21517409] Patient: no consequences or impact to patient (b)(6); (b)(4) device: contamination during use (b)(6); (b)(4) the cause of the clinical chemistry alkaline phosphatase reagents failed to calibrate/generate results was due to visible particulate or visible mold in the reagent cartridges. Abbott issued a product recall letter to all customers to inform them to discontinue use and to discard/destroy any suspect cartridges and order replacement reagents.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1628664-2011-00620
MDR Report Key2253083
Report Source01
Date Received2011-09-19
Date of Report2011-09-07
Date Mfgr Received2011-09-07
Date Added to Maude2012-05-10
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactNOEMI ROMERO-KONDOS, RN BSN
Manufacturer Street100 ABBOTT PARK ROAD DEPT. 09B9, LCCP1-3
Manufacturer CityABBOTT PARK IL 600643537
Manufacturer CountryUS
Manufacturer Postal600643537
Manufacturer Phone847937-512
Manufacturer G1ABBOTT MANUFACTURING INC
Manufacturer Street1921 HURD DRIVE
Manufacturer CityIRVING TX 75038
Manufacturer CountryUS
Manufacturer Postal Code75038
Single Use3
Remedial ActionRC
Previous Use Code3
Removal Correction Number1628664-8/29/11-001-R
Event Type3
Type of Report3

Device Details

Brand NameCLINICAL CHEMISTRY ALKALINE PHOSPHATASE REAGENT
Product CodeCJE
Date Received2011-09-19
Catalog Number07D55-31
Lot Number08145UN11
Device Expiration Date2012-02-15
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerABBOTT MANUFACTURING INC
Manufacturer Address1921 HURD DRIVE IRVING TX 75038 US 75038


Patients

Patient NumberTreatmentOutcomeDate
10 2011-09-19

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